<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Distribution_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-distribution_name" class="form-control" name="row[distribution_name]" type="text" value="{$row.distribution_name|htmlentities}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Children_consumption_rebate')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-children_consumption_rebate" class="form-control" name="row[children_consumption_rebate]" type="number" value="{$row.children_consumption_rebate|htmlentities}">
        </div>
    </div>


    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Distribution_proportion')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-distribution_proportion" class="form-control" name="row[distribution_proportion]" type="number" value="{$row.distribution_proportion|htmlentities}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fixed_reward')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fixed_reward" class="form-control" name="row[fixed_reward]" type="number" value="{$row.fixed_reward|htmlentities}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Weighted_share')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-weighted_share" class="form-control" name="row[weighted_share]" type="number" value="{$row.weighted_share|htmlentities}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Promotion_conditions')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-promotion_conditions" class="form-control" name="row[promotion_conditions]" type="number" value="{$row.promotion_conditions|htmlentities}">
        </div>
    </div>



    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
